The Consult Before the Cut

Thinking about getting dermal filler? Board-certified plastic surgeon Dr. Jonathan Weiler and expert injector Taylor Bech break down the real risks of filler injections, from bruising and swelling to rare complications like vascular occlusion, biofilms, and granulomas. Learn the difference between normal side effects and true filler complications, how to choose a safe, qualified injector, and the questions you should always ask before your next appointment. Whether you're a first-time filler patient or just want to separate fact from fear, this episode gives you the honest, expert breakdown you won't get on social media. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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0:00 – Cold Open0:29 – Intro & Welcome2:03 – Staying Open-Minded in a World of Medical Disinformation5:51 – How Medicine Advances: The HRT Example11:07 – Story: The Patient Who Lost Trust Over "5 Days"14:33 – Story: The Emergency Surgery & the Familiar Last Name16:29 – Thanking Our Sponsors18:02 – Today's Topic: Dermal Filler Complications18:33 – Commercial Break19:33 – Welcome Back: Diving Into Filler Complications20:21 – Botox Complications vs. Filler Complications21:01 – "Fillers Are Very, Very Safe" — Setting Expectations22:59 – Risk Levels: Botox vs. Fillers vs. Surgery25:03 – The Injector Training Gap (The Plumber Analogy)28:11 – Informed Consent & Normal Side Effects (Bruising, Swelling, Lumps)31:32 – Biofilms & Granulomas: Aseptic Technique Matters33:49 – Myth-Busting: Does Filler Ever Fully Dissolve?36:00 – Complications From Poor Technique & Wrong Placement37:55 – The Danger of Sketchy Clinics (Non-FDA Filler, Silicone)38:49 – Nodules vs. Serious Complications39:24 – Vascular Occlusion Explained41:32 – Why Regulated Surgical Centers Matter42:52 – Warning Signs & How Vascular Occlusion Is Treated45:56 – Can a Complication Happen After You Leave the Clinic?47:32 – Myth: Does Filler Ruin a Future Facelift?52:11 – HA vs. PLA (Sculptra) vs. Radiesse: Which Has Higher Risk?54:23 – Putting the Risk in Perspective (Driving vs. Flying)56:18 – How to Vet a Filler Provider: Questions to Ask57:04 – If You've Had One Complication, Are You More at Risk Again?1:00:09 – Final Thoughts: Trust, Safety & Informed Patients1:01:33 – Outro & Subscribe

Can a prescription drop really give you longer, thicker, darker lashes; no extensions, no falsies, no glue? This week our hosts break down everything you need to know about Latisse, the only FDA-approved prescription treatment for eyelash growth. Later in the episode, patient Allison shares her experience with the product. Whether you're lash-extension-fatigued, curious about the science, or just want to know if it's worth the price tag, this episode has you covered. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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Can fillers and Botox really delay the need for a facelift, or is that just marketing? Board-certified plastic surgeon Dr. Jonathan Weiler and expert injector Taylor Bech break down the real anatomy of facial aging, who's actually a good candidate for injectables vs. surgery, how deep plane facelift techniques have evolved, and why Botox is a lifelong commitment no matter what else you do. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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00:00 — Intro & welcome02:04 — Why fear holds people back from plastic surgery & injectables04:01 — AI, filters, and unrealistic beauty standards08:32 — Today's topic: facial balancing vs. facelifts08:56 — Taylor's background working alongside a plastic surgeon09:28 — How fillers and facelifts have evolved over the years10:24 — Sponsor thanks12:05 — Break13:06 — Recapping the debate13:57 — Anatomy 101: the "tablecloth" analogy for facial aging19:54 — Injection planes and compartments explained22:45 — Different filler types and consistencies25:06 — Who's the ideal injectable patient?27:19 — Skin integrity vs. filler results28:05 — Can early skincare/filler delay surgery down the road?30:25 — Facelift age trends & the rise of endoscopic facelifts33:06 — Deep plane facelifts & the "Amazon box" neck analogy35:43 — Buccal fat, explained37:25 — Sculptra and facelift complications39:19 — Kybella: pros, cons, and surgical impact40:15 — Should you dissolve filler before a facelift?41:55 — Combining fat transfer and filler with facelifts42:34 — Facelift as "instant gratification"43:17 — Benefits and downsides of delaying a facelift with fillers45:07 — Why Botox is irreplaceable at any age45:54 — How long do facelift results actually last?47:04 — Treatment breakdown by decade: 20s, 30s, 40s, 50s48:17 — Aggressive intervention in younger patients — good idea?49:04 — Myth or Reality: rapid-fire round51:13 — Facial balancing vs. anti-aging — the key distinction51:56 — Final advice for listeners53:07 — Outro

Think it's too late to build muscle after 60? Think again. This week, the hosts sit down with certified menopause fitness coach and former IFBB Bikini Pro competitor Wanda Mayeux to break down what's really happening to women's bodies during perimenopause and menopause. Whether you're in perimenopause, full menopause, or just want to understand what's coming, this episode is packed with real talk and practical takeaways. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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00:00 – Cold Open00:32 – Intro & Welcome05:16 – Why Menopause Is Having Its Moment08:28 – Sponsor Shoutout09:39 – Commercial Break10:40 – Meet Wanda Mayeux11:24 – From Cardio Queen to Bodybuilder at 4914:10 – What "Balanced Physique" Means in Competition15:38 – Was She in Menopause When She Started?18:21 – Inside Her Competition Training (800 Calories a Day)22:54 – Breaking the Stigma Around Women Lifting Weights24:00 – How She Became a Glute Training Specialist24:58 – Why Glutes Matter for Aging & Longevity26:44 – Glute Specialist vs. Regular Personal Trainer28:38 – Why Menopausal Women Need a Different Approach29:14 – Wanda's Hormone Journey (Hair Loss Wake-Up Call)33:11 – Life After Starting HRT33:47 – Coaching Walkthrough: What She'd Tell a New Client36:32 – Real Client Success Story37:21 – How She Tracks Progress (Without the Scale)38:36 – How Long It Really Takes to See Results40:39 – The Glute Training Device She Invented43:12 – Why This Work Is So Rewarding45:24 – Rapid-Fire Menopause Myth Busting47:34 – Final Myth: "Too Late After 60"?47:40 – Where to Find Wanda & Outro

This week, our hosts sit down with Katie and Michelle, co-owners of Embark Fine Jewelry (Lafayette & Baton Rouge), to talk all things ear piercing. From the science of why your ears never stop "changing" to the rise of curated ear stacks, hollow-needle piercing vs. the mall piercing gun, healing timelines, and the great lab-grown vs. natural diamond debate... this one covers it all. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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00:00 Cold Open00:40 Intro & Sponsor Thanks02:53 Meet Katie & Michelle of Embark03:38 A Surgeon's Detour: The Science of Ears06:34 The Embark Origin Story08:40 Demi-Fine vs. Fine Jewelry, Explained09:54 From Dining Table to Storefront17:36 Sponsor Break18:44 How Embark Became "Pierced"20:18 Introducing "Pierced": The Physician's Office Kit21:36 Hollow Needle vs. Piercing Gun23:41 The Multiple-Piercing Trend26:45 Piercing After Ear Repair Surgery28:54 Booking & Logistics30:33 Aftercare: How Long to Keep Earrings In31:06 Earrings, Jewelry & Lab-Grown vs. Natural Diamonds39:40 Follow Embark42:23 Outro

Is a "routine" reconstruction case ever really routine, or is every one its own hardest case?
This week, Dr. Weiler and Taylor are joined by fellow plastic surgeon Dr. Fontenot of Weiler Plastic Surgery in Lafayette and Lake Charles to break down what it really takes to handle the toughest cases in reconstructive surgery, from DIEP flap breast reconstruction to free tissue transfer trauma repairs that push years of training to the limit.
Whether you're curious about what goes into a breast reconstruction consult or wondering why "board-certified" makes all the difference, this episode answers the questions patients ask every day. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
ALSO AVAILABLE ON THE FOLLOWING PLATFORMS:Spotify: https://open.spotify.com/show/0uZJ1zzDb1za8wFATqfImQApple Podcasts: https://podcasts.apple.com/us/podcast/the-consult-before-the-cut/id1820975323Amazon Music: https://music.amazon.com/podcasts/549e9e04-7f52-4e8e-afb2-57b75a6681c5/the-consult-before-the-cutiHeartRadio: https://www.iheart.com/podcast/1323-the-consult-before-the-cu-256666437/PlayerFM: https://player.fm/series/3636861Podchaser: https://www.podchaser.com/podcasts/the-consult-before-the-cut-5954677Listen Notes: https://www.listennotes.com/podcasts/the-consult-before-the-cut-weiler-plastic-bWKo2eYdh7S/#google_vignette
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What is a glass skin facial and is it worth it? In this episode, our hosts and guest aesthetician Amber break down Weiler Plastic Surgery's Glass Skin Facial, a medical-grade skin treatment combining microneedling, ZO Skin Health serums, a Stimulator Peel, and ZO Radical Night Repair for smoother texture, brighter tone, and that coveted "glass skin" glow. Taylor shares her real before-and-after experience with redness, peeling, and downtime, while Amber joins to explain how the glass skin facial works, who's a good candidate, how it compares to regular microneedling, and how to time your treatment before a big event or wedding. Whether you're researching microneedling facials, chemical peels, anti-aging skincare, or medical-grade aesthetic treatments, this episode covers everything you need to know before booking your own glass skin facial. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 – Cold Open00:35 – Intro & Welcome01:10 – Weekly Recap: Influencer Event & Pickleball Talk07:22 – Today's Topic: The Glass Skin Facial07:35 – What Makes It a "Treatment," Not Just a Facial08:47 – Taylor's Glass Skin Experience & Recovery09:42 – Breaking Down the Treatment Steps11:39 – Radical Night Repair & At-Home Peel Option12:46 – Why Do It Before Summer13:36 – Glass Skin Facial vs. Korean Sheet Mask15:49 – Patient Testimonials16:49 – Welcome Back, Esthetician Amber20:40 – Amber Explains the Glass Skin Facial22:42 – Step 1: Superficial Microneedling24:16 – Step 2: The Stimulator Peel25:07 – Step 3: Choosing Your Booster (Bright Alive, Firm, Rosetta)27:38 – Step 4: Radical Night Repair & Why Retinol Works30:01 – Day-by-Day Recovery Timeline31:25 – Aftercare & Getting Back to Your Skincare Routine32:59 – Mild vs. Medium vs. Aggressive Treatment35:20 – Who's the Ideal Candidate38:17 – How Often to Do It (Series & Maintenance)40:36 – Cost & Affordability41:24 – Clearing Up the Confusion: Real Treatment vs. Sheet Masks42:57 – Real Patient Case: Sculptra + Glass Skin Combo44:51 – Final Thoughts & Downtime Recap45:47 – Outro & Where to Follow Us

What's really underneath your skin? In this episode, our hosts are joined by medical aesthetician Amber to break down VISIA Skincare Analysis — a professional facial imaging system used in dermatology and medical aesthetics to evaluate skin health beyond what's visible to the naked eye. Watch host Brittany undergo a live VISIA Skin Analysis and receive an in-depth breakdown of her results, illustrating how the technology is used in real patient consultations at Weiler Plastic Surgery. 
Whether you're just starting your skincare journey or trying to figure out why your "dry" skin keeps breaking out, this episode is your roadmap. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 – Cold Open00:36 – Intro & Welcome02:19 – Meet Amber & Today's Topic: VISIA Skin Analysis03:00 – What Is VISIA Skin Analysis?04:03 – Who Needs a Skin Consultation?04:55 – Why VISIA Helps Cut Through Skincare Trends & Misinformation05:44 – Then vs. Now: Mirror-Only Assessments vs. VISIA Technology06:38 – The Complimentary VISIA Consultation06:52 – The 8 Categories VISIA Measures08:46 – What to Expect: The VISIA Process Explained10:17 – Coming Up: Brittany's Live VISIA Scan
10:36 – Commercial Break
11:36 – Brittany's VISIA Scan Begins12:28 – Taking the Photos13:11 – Reviewing the Results: Getting Started14:22 – Breaking Down the Score Categories14:55 – Understanding Your VISIA Score15:23 – Spots: Brittany's Results16:11 – Wrinkles: Brittany's Results (Post-Botox)17:05 – Texture: Brittany's Results & Rosacea18:11 – Pores: Brittany's Results18:38 – UV Damage: What's Hiding Beneath the Surface19:51 – Brown Spots & Pigmentation21:01 – Redness & Vascular Components (Rosacea Focus)22:17 – Bacteria & Acne-Causing Factors23:18 – No One Has a "Perfect" Score — Why That's Normal23:59 – The Big Reveal: True Skin Age24:42 – Brittany's Skin Age Results25:43 – Reflecting on the Skin Journey26:34 – How Often Should You Repeat a VISIA Scan?28:42 – Why the Skin Journey Matters More Than One Score29:18 – The Problem with Trend-Driven Skincare Shopping30:41 – Final Thoughts: VISIA as Your Skincare Roadmap31:56 – Where to Get Your Own VISIA Scan32:17 – Outro

Vaginal dryness, painful sex, recurrent UTIs... if you've dealt with any of these, this episode is for you. Our hosts are joined by nurse practitioner Amy Patterson, FNP-C to break down everything you need to know about intravaginal estrogen: how it works, who it's for, how it's different from systemic hormone therapy, and why even breast cancer survivors may be candidates. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 – Cold Open00:36 – Intro & Welcome02:49 – What Happens to the Vagina During Menopause05:22 – Symptoms: Dryness, UTIs & Painful Sex07:14 – Breaking the Stigma & Common Myths08:43 – Not Just for Menopause: Postpartum Use10:55 – Commercial Break11:56 – Meet the Expert: Amy Patterson, FNP-C13:39 – Who Benefits & What Patients Say16:00 – How It's Used: Application, Timeline & Results18:06 – Contraindications & Screening Guidelines21:21 – Vaginal vs. Oral Estrogen: Using Both Together25:11 – Sexual Wellness, Mental Health & Partner Considerations27:10 – Other HRT Options (Creams, Pellets, Patches, Oral)28:48 – Patient Feedback & Getting Started32:03 – Finding the Right Provider35:09 – Final Myth-Bust: Safe for Breast Cancer Survivors35:56 – Wrap-Up & Outro

Non-surgical penis enhancement is one of the fastest-growing topics in men's aesthetics, but how does it actually work? This week, Brittany and Taylor are joined by world-renowned injector and Lead National Trainer for Allergan Medical Institute, Dani Michael, DNP, FNP-C, to separate fact from fiction surrounding penile fillers. They discuss how hyaluronic acid fillers can enhance penile girth and contour without surgery, who makes a good candidate, what treatment and recovery look like, and why this procedure is about confidence. Whether you're curious about the procedure or considering treatment yourself, this episode provides an honest, educational look at one of the most talked-about advancements in men's aesthetic medicine. Thanks for watching and be sure to follow for new episodes every Tuesday!
SPONSORED BY:Weiler Plastic Surgeryhttps://www.weilerplasticsurgery.com/👉 Book a Consultation HERE: https://www.weilerplasticsurgery.com/booking/Rejuvime Medicalhttps://www.rejuvimemedical.com/👉 Book a Consultation HERE: https://rejuvime.pro/schedulenow
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00:00 Cold Open00:30 Introduction01:06 Banter & Summer Catch-Up02:42 Episode Introduction: Non-Surgical Penile Enhancement03:06 Sponsor Spotlight: Rejuvime Medical & Weiler Plastic Surgery05:30 Why We're Talking About Penile Fillers06:38 Breaking the Stigma Around Men's Aesthetics09:06 Commercial Break10:32 Meet Dani Michael, DNP, FNP-C12:36 How Dani Became a World-Renowned Injector14:45 Why More Men Are Choosing Penile Enhancement17:33 The Confidence Benefits Beyond Size19:10 Surgical vs. Non-Surgical Penile Enhancement20:38 Who Is a Good Candidate?22:38 Who Should Avoid Penile Fillers?25:10 Preparing for the Procedure29:30 What Happens During a Penile Filler Treatment?33:50 Scrotal Fillers & Botox Explained37:35 Risks, Safety & Choosing the Right Injector41:10 The Most Common Patient Questions42:58 Recovery, Downtime & Aftercare48:00 The Future of Male Aesthetics50:45 Final Thoughts & Key Takeaways52:30 Closing Remarks